Venetoclax-based combinations in AML and high-risk MDS prior to and following allogeneic hematopoietic cell transplant

被引:20
|
作者
Bewersdorf, Jan Philipp [1 ]
Derkach, Andriy [2 ]
Gowda, Lohith [1 ]
Menghrajani, Kamal [3 ,4 ]
DeWolf, Susan [3 ]
Ruiz, Josel D. [5 ]
Ponce, Doris M. [4 ,5 ]
Shaffer, Brian C. [4 ,5 ]
Tamari, Roni [4 ,5 ]
Young, James W. [4 ,5 ,6 ]
Jakubowski, Ann A. [4 ,5 ]
Gyurkocza, Boglarka [4 ,5 ]
Chan, Alexander [7 ]
Xiao, Wenbin [7 ]
Glass, Jacob [3 ,4 ]
King, Amber C. [8 ]
Cai, Sheng F. [3 ,4 ]
Daniyan, Anthony [3 ,4 ]
Famulare, Christopher [3 ]
Cuello, Bernadette M. [3 ]
Podoltsev, Nikolai A. [1 ]
Roshal, Mikhail [7 ]
Giralt, Sergio [4 ,5 ]
Perales, Miguel-Angel [4 ,5 ]
Seropian, Stuart [1 ]
Cho, Christina [4 ,5 ]
Zeidan, Amer M. [1 ]
Prebet, Thomas [1 ]
Stein, Eytan M. [3 ,4 ]
Tallman, Martin S. [3 ,4 ]
Goldberg, Aaron D. [3 ,4 ]
Stahl, Maximilian [3 ,4 ]
机构
[1] Yale Univ, Sch Med, Dept Internal Med, Sect Hematol, New Haven, CT 06510 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USA
[3] Mem Sloan Kettering Canc Ctr, Dept Med, Leukemia Serv, New York, NY 10065 USA
[4] Weill Cornell Med Coll, New York, NY USA
[5] Mem Sloan Kettering Canc Ctr, Dept Med, Adult Bone Marrow Transplantat Serv, New York, NY 10065 USA
[6] Rockefeller Univ, 1230 York Ave, New York, NY 10021 USA
[7] Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USA
[8] Mem Sloan Kettering Canc Ctr, Dept Pharm, New York, NY 10065 USA
基金
美国国家卫生研究院;
关键词
Acute myeloid leukemia; AML; MDS; venetoclax; transplant; RELAPSE;
D O I
10.1080/10428194.2021.1966788
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The role of allogeneic hematopoietic cell transplant (allo-HCT) as consolidation after initial venetoclax therapy and the efficacy of venetoclax salvage therapy for relapse after allo-HCT in patients with acute myeloid leukemia (AML) are unclear. We conducted a retrospective study of patients with AML or myelodysplastic syndrome (MDS) who received venetoclax either before or after allo-HCT at Memorial Sloan Kettering Cancer Center and Yale University from 11 August 2016 to 16 November 2020. Among 39 heavily pretreated patients who received venetoclax before allo-HCT, median OS from allo-HCT was not reached after a median follow up of 12.5 months resulting in a 12-month OS estimate of 79.0%. In 37 patients who had received venetoclax-based combinations as salvage therapy after allo-HCT, the overall response rate was 32% with a median OS of 4.7 months (12-month OS estimate: 43.4%). Four patients underwent a second allo-HCT following venetoclax-based salvage therapy suggesting it as a potential salvage treatment option.
引用
收藏
页码:3394 / 3401
页数:8
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